Provide Third-Party Claims Admin Services for Laibility, Worker's Comp

Location:	Louisiana
Posted:	Jul 2, 2026
Due:	Jul 16, 2026
Agency:	State Government of Louisiana
Type of Government:	State & Local
Category:	R - Professional, Administrative and Management Support Services
Solicitation No:	JPP-SOQ#26-018
Publication URL:	To access bid details, please log in.

Bid Number	Description	Date Issued	Bid Open Date/Time
JPP-SOQ#26-018	Provide Third-Party Claims Admin Services for Laibility, Worker's Comp SELA/Property, & Other Claims for JP Hosp. Dist. 1 & 2 Parishwide Original: JPP-SOQ#26-018	07/01/2026	07/16/2026 3:30:00 PM CT

Contact Information for Bid # JPP-SOQ#26-018

Department	Non State - Jefferson Parish Purchasing Department
Section	Jefferson Parish Purchasing
Dept Code	JPP
Contact	Misty Camardelle
Address	200 Derbigny St., Suite 4400 Gretna, LA 70053
Phone	504-364-2678
Fax	504-364-2693
Email	purchasing@jeffparish.net

Attachment Preview

SOQ No. 26-018

Provide Third-Party Claims Administration Services for Liability,

Worker’s Compensation, SELA/Property, and Other Assigned Claims

for the Jefferson Parish, Jefferson Parish Hospital Service District 1

and Jefferson Parish Hospital Service District 2 (Parishwide)

Submission Deadline: July 13, 2026 at 3:30 PM

ATTENTION VENDORS!!!

Please review all pages and respond accordingly, complying with all provisions

in the public notice and Jefferson Parish Code of Ordinances Section 2-926 et

seq. All submissions must be received on the Purchasing Department’s

e-Procurement site, www.jeffparishbids.net, by the SOQ submission deadline

date and time. Late submissions will not be accepted.

Jefferson Parish Purchasing Department

General Government Building

200 Derbigny Street, Suite 4400

Gretna, LA 70053

Purchasing Specialist II: Stacey Champagne

Purchasing Specialist II: stacey.champagne@jeffparish.gov

Purchasing Specialist II: (504)-364-2688

PUBLIC NOTICE

SOQ 26-018

Provide Third-Party Claims Administration Services for Liability, Worker’s Compensation,

SELA/Property, and Other Assigned Claims for Jefferson Parish, Jefferson Parish Hospital Service

District 1 and Jefferson Parish Hospital Service District 2 (Parishwide)

The Parish of Jefferson, authorized by Resolution No. 148618 is hereby soliciting a Statements of

Qualifications (Jefferson Parish General Professional Services Questionnaire) from qualified firms

desiring to provide Third-Party Claims Administration Services for Liability, Worker's Compensation,

SELA/Property, and Other Assigned Claims for Jefferson Parish, Jefferson Parish Hospital Service District

1 and Jefferson Parish Hospital Service District 2. (Parishwide)

General

Deadline for Submissions: 3:30 p.m., July 13, 2026

The Parish of Jefferson ("Parish") operates a self-funded program for the investigation, negotiation, and

payment of claims, including but not limited to General Liability, Professional Liability, Public Officials and

Employees Liability, Automobile Liability, Employment Practices Liability, Workers' Compensation, and

other claims asserted against the Parish.

The Parish is soliciting Statements of Qualifications from qualified firms to provide Third-Party Claims

Administration services on an annual flat-fee basis. Services shall include administration of the Parish's

claims program, including management of run-off claims for Jefferson Parish Hospital Service District No.

1 and Jefferson Parish Hospital Service District No. 2.

The successful Respondent shall perform these services as an independent contractor and shall be

responsible solely for third-party claims administration functions. The scope of this contract is limited to

claims administration. Services such as, but not limited to, preferred provider (PPO) networks, medical

case management, vocational rehabilitation, medical bill re-pricing, life care planning, private investigative

services, and litigation management are expressly excluded from the scope of this contract. Additionally,

the Parish will designate and retain legal counsel for all legal matters related to claims.

Minimum Requirements for Selection

A. Respondent firm shall have a minimum of ten (10) years' Experience in the field of adjusting and

handling General Liability, Professional Liability, Employment Practices Liability, Public Officials and

Employee's Liability, Automobile Liability, Workers' Compensation, and other claims.

B. Respondent Firm shall utilize & provide Jefferson Parish access to a comprehensive claims

Management system with the ability to run customizable, scheduled and live reporting.

C. Respondent Firm shall staff and maintain an office within the Parish of Jefferson's Department of Risk

Management offices in order to service its claims. Adjusters shall be dedicated to the Jefferson Parish

account.

D. Respondent Firm shall include within their SQQ submission a description of their firm's qualifications

including the current territory(ies) that it services, coverage lines handled, a listing of memberships in

local and national professional organizations, and a list of specific personnel who will be responsible

for ensuring the efficiency and quality of service to the Parish of Jefferson and its employees.

Resumes are required on each of the key personnel, such as office manager, supervisors and

adjusters. These resumes should include any professional designations held by the individuals as

well as listing of memberships in professional organizations. Direct experience of adjusting staff will

be a determining factor in the Parish of Jefferson's selection process. Respondents must include a

job description for each Classification of the service team. Because of the pivotal positions of the

team, the Parish of Jefferson shall retain the right to meet, review and approve of any potential assignee

to the team at the inception of the service and throughout the term of the contract, which

results from the SOQ.

E. Respondent Firm shall supply a list describing similar previous work done, arranged by subject area,

stating client's name (governmental agency or private business) and the names of contact persons

for each client listed.

F. Respondent Firm shall supply financial statements for the past three (3) years or other representation

of financial solvency.

Scope of Services

The following items should be addressed in each SOQ, in the order they appear below, for the purpose

of guiding the Parish of Jefferson in its evaluation process. A Respondent's failure to do so will result

in the lowering of its rating.

A. Claims Administration

1. Experience and Professional Qualifications:

a. A general statement about the company, stating the length of time it has been in

business as a Claims Administrator and has been adjusting General Liability,

Professional Liability, Employment Practices Liability, Public Officials and

Employee's Liability. Automobile Liability, Workers' Compensation,

SELA/Property, and other claims. Please include the location of the company's principal

office.

b. Experience including any professional designations, membership, in local and national

professional organizations held by the individuals, and the number of staff members. The

identity of the person assigned as the account executive for the administration of the Parish

of Jefferson's claims, including a complete resume for this individual. The identities of

supervisors and adjusters to provide claims administration, a complete resume for each,

the resume should include the number of years of experience in each assigned area, and

a description of whatever training is provided. NOTE: The Parish of Jefferson reserves

the right to accept/reject key personnel.

c. Indicate the location from which the account will be served, including answers to the

following: NOTE: The Parish of Jefferson will require the service company to staff and

maintain an office within the Parish of Jefferson's Department of Risk Management

offices in order to service its claims.

Is the Respondent, therefore, willing to set up a fully staffed, office within

the Parish's building?

ii. What is the Respondent's maximum capacity for its present operations and

what modifications in equipment and staffing would be necessary if

awarded this contract?

iii. Please provide information concerning backup personnel in the absence of

the key personnel.

2. Your administrative philosophy as it relates to:

a. Payment or nonpayment of claims;

b. Method of managing the reporting of claims;

c. Injured employee's work status;

d. Workers' Compensation Appeals Bond and Rehabilitation Unit appearances;

e. Fraud referrals;

f. Notification of payment or nonpayment decisions to claimant and Parish of

Jefferson;

g. Providing loss information;

h. Approach to subrogation;

i. Settlements;

j. Reserving;

k. Late payment policy;

I. Assignment, utilization and monitoring of vendors, e.g. surveillance,

rehabilitation counselors, case management etc.

3. Your claims administrative system procedures:

a. Promptness of accident investigation including: procedures utilized by your firm to

complete accident investigations and turnaround time from receipt of claim to

investigation. Is the claimant contacted within twenty-four (24) hours?

b. File review/diary calendar, frequency of the file review; as a general rule, the Parish of

Jefferson requires all cases be reviewed at least every thirty (30) days. Can your firm

provide this service? What is the frequency and criteria for supervisory or managerial diary

review?

c. It is the expectation of the Parish of Jefferson that the selected TPA make an aggressive

effort to comply with the needs of the Parish. Such needs may require the TPA to provide

various reports. The development and preparation of these reports should be included in

the final cost of service. The Parish of Jefferson will not be responsible for any costs

incurred by the selected TPA to have these reports prepared by subcontractor

or outside service, including. The Parish of Jefferson will not be responsible for paying any

costs or fees associated with any Parish of Jefferson/TPA meetings or mediations during

the term of this contract.

d. Procedures and guidelines for handling claims (standard service).

e. Record keeping, correspondence.

f. The period of retention of a file that is closed or resolved; identify what constitutes a closed

file.

g. Number of employees to be assigned to the administration of the claims, including the

maximum number of claims assigned to each adjuster. The Parish of Jefferson shall allow

each General Liability, Automobile Liability and other claims adjuster to handle not more

than 125 claims at any given time. A minimum of two (2) dedicated casualty claim adjusters

will be required. These Adjusters will be housed on-site at The Parish's Department of

Risk Management. The Parish of Jefferson shall require one (1) dedicated Workers·

Compensation claim adjuster and one (1) person for Medical only and payment processing.

h. Type of disaster recovery system or plan in case of catastrophe or other

disaster.

i. Subrogation and Second Injury Fund procedures; your firm's experience based upon

percentage recovery and dollar amount over the past three (3) years.

j. Services provided to walk-in claimants.

k. Any claims adjustment standards that your firm believes are pertinent.

I. Jefferson Parish requires daily balance access to the Trust Funds and General Ledger. The

Trust Fund accounts will be established by the Parish of Jefferson at its designated banking

institution. The TPA will be responsible for the accuracy and information contained in this

system. Jefferson Parish will require internet read only access as it relates to the Trust

Fund and General Ledger.

m. The TPA will be responsible for the verification of the legitimacy of payments made to

service providers and for the disbursal of the benefits through Jefferson Parish's check

issuance process. Jefferson Parish therefore reserves the right for staff of its office or its

designee to conduct audits of financial accountability procedures.

n. The TPA will be responsible for any and all NSF charges incurred for any reason.

o. The TPA will be responsible for producing and mailing 1099s, in accordance with Internal

Revenue Service regulations, for all claims payments made.

p. The TPA will be responsible for producing any reports required by regulatory bodies,

including but not limited to the LDOL 1000, Annual Report of Workers Compensation Costs

and the Second Injury Fund Future Liability Worksheets.

q. Provide a description of your internal quality control program and the procedures

utilized by management personnel to ensure the quality of services to be provided to the

Parish of Jefferson.

r. Claims management system (Risk Management Information System); Describe your firm's

claims management system.

B. Financial Statement

The Claims Administrator shall furnish, a copy of the 3 most recent financial reports, if

available, including all statement and footnote disclosures as required by generally accepted

accounting principles. The audit report shall contain an unqualified opinion from a Certified

Public Accounting firm, which is acceptable to the Parish of Jefferson. If the claims

administrator does not have audited financial reports, the claims administrator shall provide a

copy of the most recent internal financial report available.

C. References

1. For which major clients (3,000 or more employees) does your firm presently administer

claims? Please provide names and telephone numbers of individuals who may be called

as references. Please also indicate the types of claims administered.

2. Have any clients terminated your firm's services as a Claims Administrator within the past

three (3) years? If so, please identify the client, a contact person and provide a brief

description of any reason or background for the termination.

D. General

1. In a brief statement, please describe the principal reason or reasons your organization

should be selected as the Claims Administrator for the Parish of Jefferson.

2. Will your representatives attend meetings concerning claims administration whenever

requested to do so by the Parish of Jefferson?

3. Does your firm agree that all books, claims, files, records, including all electronic data, lists

of names, journals and ledgers, tapes, cards and drawings always remain the property of

the Parish of Jefferson and your firm uses such exclusively for the Parish of Jefferson, and

at the direction of the Parish of Jefferson?

4. Does your firm agree to cooperate fully with an outside audit of its claims administration

processes and procedures?

5. Does your firm agree to adhere to generally accepted Workers' Compensation, Automobile

and Liability claims administration processes and industry standard practices?

6. Does your firm agree to provide security and safe keeping of the Parish of Jefferson's

records and to return such records to the Parish of Jefferson if a new administrator is hired

in the event your firm's contract is terminated?

Evaluation Criteria

The following criteria shall be used to evaluate each firm submitting a Statement of Qualifications:

(1) Scope of services- Methodology and resources applied to fulfill the scope of services, staffing

and organization, including experience and professional qualifications of key management

and claims adjusting personnel who are assigned to the project - (Maximum points shall be

30).

(2) Specific experience- similar or larger scope of services currently being provided

(Maximum points awarded shall be 25).

(3) Personnel- Size of firm considering the number of professional and support personnel,

experience of management staff, experience in similar projects, etc. (Maximum points shall be

20).

(4) Location of the principal office where work will be performed. Preference shall be given to persons

or firms with a principal business office at which the work will be performed as follows: (1)

Jefferson Parish, including municipalities located within Jefferson Parish (15 points); (2)

Neighboring Parishes of the Greater New Orleans Metropolitan Region, which includes Orleans,

Plaquemines, St. Bernard, St. Charles, St. Tammany (12 Points); (3) Parishes other than the

foregoing (10 Points); (4) Outside the State of Louisiana (6 Points) (Maximum points awarded

shall be 15).

(5) Adversarial legal proceedings between the Parish and the person or firm performing professional

services, in which the Parish prevailed or any ongoing adversarial legal proceedings between the

Parish and the person of firm performing professional services, excluding those instances or

cases where the person or firm was added as an indispensable party, or where the person or

firm participated in or assisted the public entity in prosecution of its claim. In the event that the

person or firm fails to provide accurate and detailed information regarding legal proceedings with

the Parish, including the absence of legal proceedings, the person or firm shall be deemed

unresponsive with regard to this category, and zero (0) points shall be awarded (Maximum points

awarded shall be 10 for the lack of any such adversarial proceedings as defined).

All persons or firms (including subcontractors) must submit a Statement of Qualifications (Jefferson Parish

General Professional Services Questionnaire) by the deadline. The latest professional services

questionnaire may be obtained by contacting the Purchasing Department at (504) 364-2678 or via the

Jefferson Parish website at https://www.jeffparish.gov/468/Statement-of-Qualifications-SOQ.

Submissions will only be accepted electronically via Jefferson Parish’s e-Procurement site, Central Bidding

at www.centralauctionhouse.com or www.jeffparishbids.net. Registration is required and free for Jefferson

Parish vendors by accessing the following link: www.centralauctionhouse.com/registration.php.

No submittals will be accepted after the deadline.

Affidavits and Insurance are not required to be submitted with the Statement of Qualifications, but shall be

submitted prior to contract approval.

Disputes/protests relating to the decisions by the evaluation committee or by the Jefferson Parish Council

shall be brought before the 24th Judicial District Court.

ADV: The New Orleans Advocate: July 1, 2026 & July 8, 2026

This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.

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Provide Third-Party Claims Admin Services for Laibility, Worker's Comp

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